<unavail> in Henderson, NV - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Henderson, Nevada. The current practice location for is 11500 S Eastern Ave Ste 150, Henderson, Nevada. For appointments, you can reach them via phone at (725) 250-5885. The mailing address for is 11500 S Eastern Ave Ste 150, Henderson, Nevada and phone number is (725) 250-5885.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851168652. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (725) 250-5885.

Contact Information


	11500 S Eastern Ave Ste 150 Henderson NV 89052-5576
	(725) 250-5885
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	11500 S Eastern Ave Ste 150, Henderson, Nevada
Authorized Official Name and Position	Tiffany Obene (OWNER)
Authorized Official Contact	9189060249
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885	11500 S Eastern Ave Ste 150 Henderson NV 89052-5576 Ph: (725) 250-5885

NPI Details:

NPI Number	1851168652
Provider Enumeration Date	12/11/2023
Last Update Date	01/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	8729426192
Medicare Enrollment ID	O20240403004320

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851168652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Tiffany Obene
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1619580503 PECOS PAC ID: 6901216860 Enrollment ID: I20201104000000

Reviews and Comments

Clinic/Center in Henderson, NV

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 W Horizon Ridge Pkwy, Suite #103, Henderson, NV 89052 Phone: 702-407-8241 Fax: 702-492-1728
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- Medicare Primary Care in Henderson, NV